A “medical misadventure” in Ireland

Deaths of Savita & Prasa Halappanavar

Galway, Ireland: 21-28 October, 2012

Sean Murphy*

Savita Halappanavar was a 31 year old woman who was 17 weeks pregnant when she presented at the University Hospital, Galway, on 21 October, 2012, with a miscarriage.  She spontaneously delivered a stillborn daughter, Prasa, on the afternoon of 24 October, and died from sepsis early on 28 October.  The circumstances of her death generated a hurricane of controversy in Ireland and around the world about Irish abortion law.  A coroner’s inquest held in Galway in April, 2013 resulted in the classification of Savita’s death as a “medical misadventure.”

What follows is a chronological account of Savita’s care and treatment from 21 to 28 October, drawn from newspaper reports of the evidence taken at the inquest.  [Read more . . .]

Related:

 

Irish psychiatrists reject proposed part in assessment of women seeking abortion

About one third of Irish psychiatrists who treat adults have signed a statement rejecting a draft government proposal that psychiatrists should assess women seeking who are threatening suicide.  One of a group of psychiatrists involved in discussion with the Irish government told the Irish Independent that “there is no evidence that abortion is a treatment for suicidality in pregnancy and may in fact be harmful to women.”  113 of about 300 practitioners have signed a statement to that effect. [Irish Independent]

Developments in Ireland

The Irish government has promised to introduce legislation and regulations concerning abortion in July. [Irish Independent] Meanwhile, the Irish Medical Organisation (IMO) has rejected motions seeking the group’s approval of regulations for circumstances in which there is a “real and substantial risk to the mother,” abortion in the case of rape or incest, and abortion when a foetus is diagnosed to have a fatal abnormality. The vote at the IMO annual conference reflects sharply different views from the results of some Irish public opinion polls, and contrasts with a 2011 poll that found 75% of 300 Irish general practitioners surveyed supported some form of legalization of abortion.[Irish Independent]

Related:

Assisted suicide ban upheld in Ireland: appeal likely

Judges suggest compassionate exception might be made

A three judge panel of the Irish High Court has rejected a suit by a woman suffering from multiple sclerosis to strike down the absolute ban on assisted suicide.  The court held that it would be impossible to craft an exemption to cover her particular case that would not have implications for other cases and ultimately endanger other vulnerable people.  The Court also ruled that the Director of Public Prosecutions (DPP) cannot issue guidelines to indicate what factors would be considered in deciding whether or not to prosecute someone for assisting a suicide, nor can the DPP be consulted in advance in particular cases.  However, the judges commented that the DPP might exercise discretion if there were reliable evidence of compliance with factors similar to those set out in prosecution guidelines issed by the Director of Public Prosecutions in England.  They added that they were sure that the Irish DPP would exercise discretion humanely and with sensitivity.  The decision is likely to be appealed. [Irish Times; Appeal Likely]

Irish Archbishops challenged on claims of conscience about abortion

Archbishops are absolutely wrong about conscience

The Irish Times
27 December, 2012

Desmond M. Clarke

OPINION: Catholic bishops who attribute an absolute value to conscience are trying to force others to accept their position on abortion.

The Catholic archbishops of Armagh, Dublin, Cashel and Emly, and Tuam released a public statement on December 18th that included this general principle: “No one has the right to force or coerce someone to act against their conscience. Respect for this right is the very foundation of a free, civilised and democratic society.”

I do not think they believe that. Nor do I.

Conscience could mean many things but it is usually understood as referring to the judgment of an individual about significant moral and religious matters. Unfortunately it is possible for someone to decide in “their conscience” that politically-motivated murder is acceptable in some circumstances, and the archbishops presumably do not mean the conscience of a murderer obliges a democratic state not to interfere in their behaviour, no matter how well-intentioned it may be. . . [Read on]